Skip to main content

Full text of "Reports of the Trustees of the Monson State Hospital.1926-1928"

Public Document No. 62 

IS^Ije Commonbiealtt of Ma&sathviittts 



ANNUAL REPORT 



OF 



THE TRUSTEES 



OF THE 



>w*/ MoNSON State Hospital (^^Ji^ 



FOR THE 



YEAR ENDING NOVEMBER 30, 1926 



Department of Mental Diseases 




Publication of this Document approved by the Commission on finance and Administration 
500 6-'28 Order 2537 



OCCUPATIONAL PRINTING PLANT 
DEPARTMENT OF MENTAL DISEASES 
GARDNER STATE COLONY 
PRINTERS 



2 P. D, 62 

MONSON STATE .HOSPITAL 



TRUSTEES 
GEORGE A. MOORE, Chairman, Palmer 
HENRY K. HYDE, Secretary, Ware 
MARY B. TOWNSLEY, Springfield 
WARREN H, HAMILTON, Chicopee Falls 
GEORGE D. STORRS, Ware 
ELIZABETH HORMEL, West Roxbury 
J. UBALDE PAQUIN, New Bedford 

RESIDENT OFFICERS 
MORGAN B. HODSKINS, M. D., Superintendent 
EARL K. HOLT, M. D., Assistant Superintendent 
DONALD J. MacLEAN, M. D., Senior Assistant Physician 
SAMUEL O. MILLER, M. D., Senior Assistant Physician 
PAUL 1. YAKOVLEV, M. D., Senior Assistant Physician (Pathology) 
LUCIE G. FORRER, M. D., Assistant Physician 
CHARLES F. SIMONDS, Steward 
SARAH E. SPALDING, Treasurer 

NON-RESIDENT OFFICER 
JOHN F. ROCHE, D. D. S., Dentist 

CONSULTING STAFF 
WILLIAM N. BULLARD, M. D., Honorary Consulting Physician 
HERVEY L. SMITH, M. D., Consulting Physician 
MICHAEL I. SHEA, M. D., Alternate Consulting Physician 
JOHN M. BIRNIE, M. D., Consulting Surgeon 
RICHARD S. BENNER, M. D., Alternate Consulting Surgeon 
DUDLEY CARLETON, M. D., Consulting Orthopedic Surgeon 
GEORGE A. MOORE, M. D., Consulting Oculist and Aurist 
JAMES M. MURPHY, M. D., Alternate Consulting Oculist and Aurist 
DAVID E. HARRIMAN, M. D., Consulting Physician on Diseases of the Skin 

TRUSTEES' REPORT 

To His Excellency tM/Govennor; and the 'Honorable Council: 

The Trustees ol the Monson' State Hospital submit herewith their annual report: 

The progress at the Hospitar during the past year has been marked by no out- 
standing incidents. Mainly, the work has progressed smoothly and satisfactorily. 

It seems necessary to again bring to your ^attention the unsatisfied need, which 
long has exisfed, of a building to v:are for ehildien'of- the nursery type. The capac- 
ity of this building should be sufficient for the housing of one hundred children. 
A building of this sort would not only greatly relieve the situation capacity-wise 
but, also, would much improve the service rendered to these young patients. The 
intimate mingling of all grades, as at present, makes the best results impossible. 

Scarcely less needed is a reception building for incoming patients where a study 
may be made and information secured as to the most satisfactory placement and 
treatment. 

A building of the sort proposed should include provision for the isolation of 
contagious disease cases and should have accommodations for sick employees. 
The need for this building is really pressing and should, we feel, have early favor- 
able consideration. 



X . D. 62 3 

i Mention must once more be made of theneed of a garage for ten automobiles. 
The present garage is in connection with the boiler house and has little to recom- 
mend it. The cost of a new garage is insignificant compared to the factor of safety 
and desirability involved. 

The patients in general seem well cared for and as contented as may be hoped 
for. The work on the farm has been well carried on and it may properly be men- 
tioned that our herd remains tuberculosis free. 

Respectfully submitted, 
GEORGE A. MOORE, Chairman ELIZABETH HORMEL 
HENRY K. HYDE, Secretary J. UBALDE PAQUIN 

MARY B. TOWNSLEY WARREN H. HAMILTON 

GEORGE D. STORRS 

SUPERINTENDENT'S REPORT 

To the Trustees of the Monson State Hospital: 
I herewith submit my report for the year 1926: 

The average number of patients during the hospital year has been 1,167.75; 
the number of patients admitted 175; the number of deaths 94; the average num- 
ber of patients who have been out on a visit during the year 113.42. 

The following changes have occurred on the medical staff: Dr. Leo J. Adelstein 
wfis granted a leave of absence on March 25, 1926, for one year in order that he 
might take up special work in nervous and mental diseases. Dr. Charles A. Kirk- 
land left our employ to enter general practice in Montreal. Dr. Paul 1. Yakovlev, 
was appointed Senior Assistant Physician (Pathology) on July 23, 1926. 

Miss Elizabeth McCarthy who had been Superintendent of Nurses since 1918 
and who had been connected with the Training School for Nurses since 1904 left 
the employ of the hospital to engage in private work. 

The school work has been carried on at the Children's Colony by the head 
teacher, Miss Elsie Moore, and one assistant, 130 pupils being enrolled. A school 
exhibit was held at the end of the school year that reflected much credit on both 
pupils and teachers. 

The school clinic work has been under the immediate direction of Dr. L. G. 
Forrer. The retarded pupils in the schools of Palmer, Agawam, Chicopee, West- 
field and West Springfield have been examined. 

The social work under Miss Lula P. Hayes has progressed in a satisfactory 
manner. In addition to visiting homes of patients on visit and obtaining case 
histories much time has been spent in an endeavor to place patients in families. 

Our Out-Patient Clinic and our Observation Clinic has grown to such an extent 
as to leave no doubt as to the demand for such a service from practicing physicians. 

The dental work at the Hospital has been under the charge of Dr. John T. 
Roche of Palmer, Mass-. A dental interne was employed during the summer. 
Over six thousand dental operations were performed during the year. 

At this time I wish to acknowledge our indebtedness to our Consulting Staff 
which has given so generously of its time for the benefit of the patients. 

I wish to take this opportunity to express my appreciation to the officers and 
employees for their faithful and eflJicient work and loyalty to the Hospital. 

Respectfully submitted, 

MORGAN B. HODSKINS, Superintendent. 

GIFTS 

The following gifts are gratefully acknowledged: 
Mrs. W. P. Beard, Morrisville, Vt., magazines. 
The Free Public Library Commission, books. 



4 



P. D. 62 



The Disabled Veterans* Xmas Remembrance Committee, gifts for ex-service 
men. 

The American Legion Auxiliary, Boston, Mass., gifts for ex-service men. 

Mr. Morris Segal, Chelsea, Mass., five dollars. 

Mr. Carl Hering, Lawrence, Mass., five dollars. 

Mr. Harris Rubenfeldt, New York City, ten dollars. 

Mrs. Mary B. Townsley, Springfield, Mass., magazines. 

The Salvation Army, magazines. 

Mr. Henry K. Hyde, Ware, Mass., magazines. 

CLERGYMEN WHO HAVE HELD SERVICES 

Rev. H. W. Colwell Rev. G. W. Penniman 

Rev. C. A. S. Howe Rev. Richard E. Power 

Rev. H. S. Martin Rev. Moses L. Sedar 
Rev. R. R. Morson 

GENERAL INFORMATION ' 

Methods of Admission 

1. The regular insane commitment, such as is used at the insane hospital. 

2. Two forms: (a) voluntary admission, requiring the certificate of one doctor, 
which certificate must be certified by a justice; (6) commitment for those who are 
considered dangerous epileptics, but not otherwise insane. 

Each patient is required to work as much as he is able. Patients are not allowed 
to go to town alone, nor to walk out alone. They are expected to live on plain diet 
and to go to bed early. These restrictions are not irksome when they are fully 
understood. 

Patients' Clothing 
The outfit requisite for a patient coming here is much the same as would be 
needed at home. 

Location 

The hospital is located in the town of Monson, but less than one mile from the 
village of Palmer, so that Palmer is the address for all purposes. Palmer is on the 
Boston and Albany Railroad, between Worcester and Springfield, and is at the 
junction of the Boston and Albany and the New London Northern Division of 
the Central Vermont. The Ware River Branch of the Boston and Albany Rail- 
road has one terminus in Palmer, the other in Winchendon. Palmer is 84 miles 
from Boston and the railroad fare is $3.02. 

VALUATION 

November 30, 1926 



Real Estate 

Land (661.79 acres) $ 14,362.00 

Buildings 776,442.92 



$790,804.92 

Personal Property 

Travel, transportation and office expenses $ 4,265 .88 

Food 8,818.61 

Clothing and materials 14,477 . 20 

Furnishings and household supplies 140,409 .16 

Medical and general care 15,705 59 

Heat, light and power -. 6,629 . 23 

Farm; 34,439.07 

Garage, stable and grounds 6,799 .29 

Repairs 18,566.78 



$250,110.81 

Summary 

Real Estate $790,804.92 

Personal Property 250,110.81 



$1,040,915.78 



p. D. 62 



TREASURER'S REPORT 



To the Department of Mental Diseases: 

I respectfully submit the following report of the finances of this institution for 
the fiscal year ending November 30, 1926. 



Income 
Board of Patients. 



Cash Account 
Receipts 



Personal Services: 

Reimbursement from Board of Retirement 

Sales: 

Travel, transportation and office expenses 

Food 

Clothing and materials 

Furnishings and household supplies 

Medical and general care 

Heat, light and power 

Farm: 

Cows and calves $315.50 

Hides 58.33 

Sundries 13.04 



$24,807.53 



$24,867.53 
116.14 



Garage, stable and Grounds . 
Repairs, Ordinary 



$ 1.43 
1,321.45 
97.82 
127.55 
123.85 
2.00 



386.87 
21.00 
98.92 



Total Sales 

Miscellaneous: 
Interest on bank balances . 

Rent 

Sundries 



223 . 14 
335.65 
1.06 



2,180.89 



559.85 



Total Income. 



Balance from previous year, brought forward , 

Appropriations, current year 

Trans. D. M. D., Chapter 398, Acts 1926. 



Total 

Expenses (as analyzed below) , 



Maintenance 



Balance reverting to Treasury of Commonwealth 

Analysis of Expenses 

Personal Services , 

Religious instruction 

Travel, transportation and office expenses 

Food 

Clothing and materials 

Furnishings and household supplies 

Medical and general care 

Heat, light and power 

Farm 

Garage, stable and grounds , " 

Repairs, ordinary 

Repairs and renewals 



$27,724.41 

$ 8,661 . 56 
408,440.00 
200.00 

$417,301.56 
397,900.29 

$ 19,401.27 



$199,869.49 
1,535.92 
4,813.57 
74,731.97 
10,781.94 
21,280.50 
9,449.37 
31,721.90 
21,091.01 
3,425.32 
8,785.24 
10,414.06 



Total Expenses for Maintenance 

Special Appropriations 

Balance December 1, 1925 

Expended during the year (see statement below) 



Balance November 30, 1926, carried to next year. 



$397,900.29 

$7,500.00 
27.28 

$7,472.72 



Object 


Act or 
Resolve 


Whole 
Amount 


Expended 
During 
Fiscal 
Year 


Total 
Expended 
to Date 


Balance 
at End 
of Year 


Fire Protection 1925 


1925 


$7,500.00 


$27.28 


$27.28 


$7,472.72 




Total 




$7,500.00 


$27.28 


$27.28 


$7,472.72 







Balance reverting to Treasury of the Commonwealth during year. 
Balance carried to next year 



Total as above . 



0.00 
$7,472.72 

$7,472.72 



Per Capita 

During the year the average number of inmates has been 1,167.59. 
Total cost for maintenance, $397,900.29. 

Equal to a weekly per capita cost of $6.5536 (52 weeks to year). 
Receipt from sales, $2,180.89. 



6 P. D. 62 

Equal to a weekly per capita of $.0359. 
All other institution receipts, $25,662.51. 
Equal to a weekly per capita of $.4226. 
Net weekly per capita, $6.0951. 

Respectfully submitted, 

SARAH E. SPALDING, Treasurer. 

Total receipts and payments are in agreement with Comptroller's books of account. 

JAMES c. Mccormick. 



STATISTICAL TABLES 

As Adopted by American Psychiatric Association 
Prescribed by Massachusetts Department of Mental Diseases 

Table 1. — General Information 

1. Date of opening as an institution for Epileptics: May 2, 1898. 



2. Type of institution: State. 

3. Hospital plant: 

Value of hospital property: 

Real Estate including buildings $ 785,906 . 59 

Personal Property 256,01 5 . 04 



Total $1,042,011.63 

Total acreage of hospital property, 661.79. 
Acreage under cultivation during year, 124. 

M. F. T. 

4. Medical Service: 

Superintendent • 1 - 1 

Assistant superintendent 1 - 1 

Assistant physicians 5 1 6 

M edical internes - - 

Clinical assistants 

Total 7 18 

M. F. T. 

5. Employees: 

Graduate nurses - 7 7 

Other nurses and attendants 51 47 98 

Social worker - 1 1 

All other employees 62 49 111 

Total 120 105 225 

6. Percentage of patients employed during year 291.80 288.45 580.25 



Table 2. — Financial Statement 
See Treasurer's report for data under this table. 



IP. D. 62 



7 



o t- CO 



O O T)< tH Tjt 

rH i-H> 



■«t looieo CO 

■ ■ -iH 00 
Tf a:rfi 



o 
o 



N i-( I eo Tj* .-^ «o 



00 I I OOiHOSNOO 



5<J 



C 3 

■CO 
rt 3 to 

> 0) to 



o «« S S 

O) o O 



1 y B 9 



to 00 »<'ir OS g 



^^5 



M to 00 OS H 



t> 05 00 
«D Oi CO 

Tjt CO 



S c 0) I ca » 
3 OT3 ™ t +J 



C 3 to 



(I — S 9 

^'.s M i £ 



^ a vi rr 

{a, a & a.2 p 



CO o o o g^S2 
»- fc- ^ « 
0) 0) 01 >, r" cs 

lilies. 

-O-OTJ o o o 

m Qi a; 

bfi bn bfi ^ ^ 



(/: J w 

SIS 

w S w 

« U. H 

o 



W H m 
« S S 



M«D I I iH I M Tt< t> -^t fr] CO 



I rH OJ « C<J iH N 



■'f M rjt t- N 



r-l m to 



I -HN I T-l 1 ! 



V) 2 

wis 

2 S H 

Sg2 



H J 
^ < § 

w S H 



rH 00 N N r-l r-l N 



f-l ■•f 05 N iH N 1 



W 1-1 Tl< Tj< rH I 



H < S 
Z § Z 

w w a 



h3h 
z <: ^ 
" S H 



(N I 1 I COi 



1-t I I I I I 



: 5 

1 



C 3 oj C 3_ _ . 



p. D. 62 9 



Table 5. — Citizenship of First Admissions 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Citizens by birth 

Total 


4 


8 


12 


58 
3 
7 


41 
4 
1 


99 
7 
8 


62 
3 
7 


49 
4 
1 


Ill 
7 
8 


4 


8 


12 


68 


46 


114 


72 


54 


126 



Table 6. — Psychosis of First Admissions 





Insane 


Sane 


Total 




M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 






























20 


19 


39 


20 


19 


39 


(6) Mental deficiency 








(a) Idiot 


2 


4 


6 


12 


6 


18 


14 


10 


24 


ib) Imbecile 


2 


3 


5 


19 


9 


28 


21 


12 


33 






1 


1 


13 


10 


23 


13 


11 


24 










3 


2 


5 


3 


2 


5 










1 




1 


1 




1 


Total 


4 


8 


12 


68 


46 


114 


72 


54 


126 







Table 7. — Race of First Admissions 





Insane 


Sane 


Total 




M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 










1 


1 


2 


1 


1 


2 










1 




1 


1 




1 


Dutch 








1 




1 


1 




1 






3 


3 


12 


7 


19 


12 


10 


22 










10 


6 


16 


10 


6 


16 










1 




1 


1 




1 






1 












1 


1 


Greek 


1 






1 




1 


2 




2 


Hebrew 


1 






7 


2 


9 


8 


2 


10 


Irish 




1 




14 


7 


21 


14 


8 


22 






1 




7 


2 


9 


7 


3 


10 












2 


2 




2 


2 


Scotch 








1 


1 


2 


1 


1 


2 




2 




2 


3 


2 


5 


5 


2 


7 


Welch 








1 




1 


1 




1 






2 


2 


8 


16 


24 


8 


18 


26 


Total 


4 


8 


12 


68 


46 


114 


72 


54 


126 


Table 8. — Age of First Admissions Classified with Reference to Epilepsy 




Insane 


Sane 


Total 




M. 


F. 


T. 


M. 


F. 


T, 


M 


F. 


T. 


Under 15 years 


3 


4 


7 


33 


20 


53 


36 


24 


60 




1 


2 


3 


6 


10 


16 


7 


12 


19 






1 


1 


6 


2 


8 


6 


3 


9 










3 


3 


6 


3 


3 


6 










2 


5 


7 


2 


5 


7 






1 


1 


2 


1 


3 


2 


2 


4 










5 


1 


6 


5 


1 


6 


45 to 50 years 










1 


1 




1 


1 










3 


1 


4 


3 


1 


4 










3 


2 


5 


3 


2 


5 










3 




3 


3 




3 










1 




1 


1 




1 






























1 




1 


1 




1 
























4 


8 


12 


68 


46 


114 


72 


54 


126 



10 



Table 9. — Degree of Education of First Admissions 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Not' of school age 




1 




12 


4 


16 


12 


5 


17 


Illiterate 


4 


7 


11 


13 


11 


24 


17 


18 


35 


Reads and writes 








17 


5 


22 


17 


5 


22 


Common school 








24 


24 


48 


24 


24 


48 


High school 








2 


2 


4 


2 


2 


4 


Total 


4 


8 


12 


68 


46 


114 


72 


54 


126 



Table 10. — Environment of First Admissions 





Insane 


Total 


Sane 




M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Urban 


4 


7 


11 


65 


44 


109 


69 


51 


120 






1 


1 


3 


2 


5 


3 


3 


6 


Total 


4 


8 


12 


68 


46 


114 


72 


54 


126 



Table 11. — Economic Condition of First Admissions 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 




4 


2 


6 


14 


18 


32 


18 


20 


38 






5 


5 


51 


27 


78 


51 


32 


83 








1 


3 




4 


3 


2 


5 


Total 


4 


8 


12 


68 


46 


114 


72 


54 


126 



Table 12. — Use of Alcohol by First Admissions 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 




4 


8 


12 


58 


45 


103 


62 


53 


115 










3 




3 


3 




3 










7 


1 


8 


7 


1 


8 


Total 


4 


8 


12 


68 


46 


114 


72 


54 


126 



Table 13. — Marital Condition of First Admissions 





Insane 


Sane 


Total 


M. 


F. 


T 


M 


F. 


T. 


M. 


F. 


T. 




4 


8 


12 


53 


34 


87 


57 


42 


99 










8 


9 


17 


8 


9 


17 










4 


2 


6 


4 


2 


6 










2 




2 


2 




2 


Divorced 








1 


1 


2 


1 


1 


2 


Total 


4 


8 


12 


68 


46 


114 


72 


54 


126 



IF. D. 62 11 



Table 14. — Psychosis of Re-admissions 



1 


Insane 


Sane 


Total 




M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Epileptic: 

(a) Deterioration 


1 




1 


11 


8 


19 


12 


8 


20 










1 




1 


1 




1 


(c) M^ental deficiency: 

(a) Idiot 








2 


2 


4 


2 


2 


4 


(6) Imbecile % . . . 








6 


3 


9 


6 


3 


9 


(c) Moron 








8 


6 


14 


8 


6 


14 










1 




1 


1 




1 


Total 


1 




1 


29 


19 


48 


30 


19 


49 









Table 15. — Discharge of Patients and Condition on Discharge 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Recovered 




















Improved 


1 


3 


4 


9 


5 


14 


10 


8 


18 


Unimproved 


2 




2 


39 


22 


61 


41 


22 


63 


Total 


3 


3 


6 


48 


27 


75 


51 


30 


81 



Table 16. — Causes of Death 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Epidemic, Endemic and Infectious 
Diseases: 




















Syphilis 








1 




1 


1 




1 












1 


1 




1 


1 


General Diseases: 




























1 




1 


1 




1 


Diseases of the Nervous System: 




























1 




1 


1 




1 




8 


7 


15 


29 


19 


48 


37 


26 


63 


Diseases of the Circulatory System: 






















1 




1 


2 




2 


3 




3 


Chronic valvular heart disease. . . . 










1 


1 




1 


1 






1 


1 










1 


1 










1 




1 


1 




1 


Diseases of the Respiratory System: 




























1 




1 


1 




1 




1 




1 




1 


1 


1 


1 


2 


Diseases of the Digestive System: 




















Gastric ulcer 




1 


1 










1 


1 


G astro-enteritis 








2 




2 


2 




2 


Ilio-colitis 








1 




.1 


1 




1 


Strangulated hernia 


1 




1 








1 




1 




1 




1 








1 




1 




1 




1 








1 




1 


Non-venereal Diseases of the Genito- 




















urinary System and Annexa: 




















Cancer of prostate 








1 




1 


1 




1 


Diseases of the Skin and of the Cellu- 




















lar Tissue: 




















Acute pemphigus 








1 




1 


1 




1 


External Causes: 




















Accidental drowning 








1 




1 


1 




1 


Asphyxia 


2 


1 


3 


2 


2 


4 


4 


3 


7 




1 




1 








1 




1 


Total 


16 


10 


26 


44 


24 


68 


60 


34 


94 



12 P. D. 62 



Table 17. — Age of Patients at Time of Death 





Insane 




Sane 


Total 


iVl. 


r . 




M 


r . 


T 


iVl. 


JT . 




Under 15 years 


1 
1 


q 






Q 


A 


1 Q 


1 C\ 




1 T 
1 1 


From 15 to 20 years 


5 




5 




4 


1 


5 


9 


1 


10 


20 to 25 years 




1 


o 




^ 


o 
£t 


D 


o 
o 


Q 
O 


1 1 
li 


25 to 30 years 


1 




1 




4 


1 


5 


5 


1 


6 


30 to 35 years 






1 




2 


3 


5 


2 


4 


6 




1 








4 


2 


6 


5 


2 


7 






2 


2 




4 


2 


6 


4 


4 


8 












2 




2 


2 




2 












3 


2 


5 


3 


2 


5 




4 




4 




1 


2 


3 


5 


2 


7 






2 


2 




1 




1 


1 


2 


3 


65 to 70 years 




1 


1 




3 


1 


4 


3 


2 


5 


70 to 75 years 










2 


2 


4 


2 


2 


4 


75 to 80 years 










1 


1 


2 


1 


1 


*2 


80 to 85 years 












1 


1 




1 


1 


Total 


16 


10 


26 




44 


24 


68 


60 


34 


94 



Table 18. — Total Duration of Hospital Life of Patients Dying in Hospital 





Insane 


Sane 


Total 




M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 










1 


1 


2 


1 


1 


2 










5 




5 


5 




5 




2 




2 


2 




2 


4 




4 






1 


1 


3 


1 


4 


3 


2 


5 




2 


1 


3 


7 


4 


11 


9 


5 


14 




5 


2 


7 


8 
8 


1 


9 


13 


3 


16 




3 


3 


6 


6 


14 


11 


9 


20 




2 




2 


5 


7 


12 


7 


7 


14 






2 


2 


3 


2 


5 


3 


4 


7 


20 to 25 years 


1 


1 


2 




1 


1 


1 


2 


3 


25 to 30 years 


1 




1 


2 


1 


3 


3 


1 


4 


Total 


16 


10 


26 


44 


24 


68 


60 


34 


94 







Public Document No. 62 

A 

V^iit Comtnoniuealti) of i{Ia£i£iaci)U2ett9 



ANNUAL REPORT 



OF 



THE TRUSTEES 



MoNsoN State Hospital 



FOR THE 



YEAR ENDING NOVEMBER 30, 1927 



Department of Mental Diseases 



1< 




Publication of this Document approved by the Commission on Admini stiia noN and I ixance 
500 4-29 Order 5258 



OCCUPATIONAU PRINTING PLANT 
DEPARTMENT OF MENTAL DISEASES 
GARDNER STATE COLONY 
PRINTERS 



2 P. D. 62 

MONSON STATE HOSPITAL 



TRUSTEES 
GEORGE A. MOORE, Chairman, Palmer 
HENRY K. HYDE, Secretary, Ware 
MARY B. TOWNSLEY, Springfield 
WARREN H. HAMILTON, Chicopee Falls 
GEORGE D. STORRS, Ware 
ELIZABETH HORMEL, West Roxbury 
J. UBALDE PAQUIN, New Bedford 

RESIDENT OFFICERS 
MORGAN B. HODSKINS, M. D., Superintendent 
EARL K. HOLT, M. D., Assistant Superintendent 
DONALD J. MacLEAN, M. D., Senior Assistant Physician 
SAMUEL O. MILLER, M. D., Senior Assistant Physician 
PAUL 1. YAKOVLEV, M. D., Senior Assistant Physician 
LUCIE G. FORRER, M. D., Assistant Physician 
MAURICE 0. BELSON, M. D., Assistant Physician 
ULYSSE FORGET, M. D., Assistant Physician 
CHARLES F. SIMONDS, Steward 
SARAH E. SPALDING, Treasurer 

NON-RESIDENT OFFICER 
JOHN F. ROCHE, D. D. S., Dentist 

CONSULTING STAFF 
WILLIAM N. BULLARD, M. D., Honorary Consulting Physician 
HERVEY L. SMITH, M. D., Consulting Physician 
MICHAEL 1. SHEA, M, D., Alternate Consulting Physician 
JOHN M. BIRNIE, M. D., Consulting Surgeon 
RICHARD S. BENNER, M. D., Alternate Consulting Surgeon 
DUDLEY CARLETON, M. D., Consulting Orthopedic Surgeon 
GEORGE A. MOORE, M. D., Consulting Oculist and Aurist 
JAMES M. MURPHY, M. D., Alternate Consulting Oculist and Aurist 
DAVID E. HARRIMAN, M. D., Consulting Physician on Diseases of the Skin 

W!^tc Commonb3ea(tft of i*las;s;ac{)U£(etts? 

TRUSTEES' REPORT 

To Hit Excellency the Governor and the Honorable Council: 

The Trustees of the Monson State Hospital submit herewith their annual report. 
There V?ve been, Torounately, no remarkable sickness incidents during this year, 
although the hospital has had about 300 patients more than the number its proper 
capacity indicares. 

There nre m'\ny patients in this hospital whose condition denies to them the 
beneficial absorption and exercise furnished by work. Compensation for this is 
attempted by furnishing proper amusements, such as baseball, picnics, etc., in 
the summer time and in the winter time, when outdoor sports and amusements 
are not possible, daii*:es, motion picture shows, and other indoor functions. 

Those of proper age and ability are taught in school rooms and others find interest 
and benefit in sewing and other household arts within their capacities. The results 
achieved in this line are quite remarkable and noteworthy exhibitions of handicraft 
of patients are occasionally made. 

All holidays were observed this past year with appropriate exercises, a most active 
interest being taken by the patients whose lives were thus brightened. At Christmas 



. 62 ' f 3 

time a whole week was devoted to Yuletide observance. The public is invited and 
is encouraged to visit this institution in which they find patients as happy and as 
comfortable as circumstances permit. 

An appropriation was made which provides for a building for attendants. When 
this building is available it will release some rooms, now necessarily occupied by 
attendants, to the use of patients. In addition it will remove attendants during 
off-service hours from the atmosphere of the wards — a much needed change for 
them. 

Money should be provided at an early date for a building for infirm children. The 
capacity of this building should be for about 100 and it is estimated that about 
$115,000 will be needed for the purpose and we are asking the legislature for that 
sum for the building mentioned. 

An admission building is very much needed indeed. With an excess of patient 
population running to three hundred over capacity, it has become most urgently 
desirable that a place where new arrivals may be placed, observed, and graded for 
placement in the multiple buildings of the institution, should be acquired. This 
would greatly facilitate the work and be of benefit to patients as well. 

Under the normal general effort toward improvement, advance is being made 
in the matter of improving the grounds by such inmate labor as is available. 

Respectfully submitted, 
GEORGE A. MOORE, Chairman ELIZABETH HORMEL 

HENRY K. HYDE, Secretary J. UBALDE PAQUIN 

MARY B. TOWNSLEY WARREN H. HAMILTON 

GEORGE D. STORRS 

SUPERINTENDENT'S REPORT 

To the Trustees of the Monson State Hospital: 
I herewith submit my report for the year 1927. 

The average number of patients during the hospital year has been 1176.35; the 
number of patients admitted 199; the number of deaths 73; the average number 
of patients who have been out on a visit during the year 97.62. 

Medical 

On June 1, 1927, Dr. Maurice 0. Belson and Dr. Ulysse Forget were appointed 
Assistant Physicians. 

We have continued our studies on deteriorated epileptics and a paper on the 
extra-pyramidal signs shown in these cases will be presented at. the next meeting of 
the Society for the Study of Epilepsy. 

In addition to this special investigation the regular laboratory procedures have 
been carried on. 

The diagnostic service offered to physicians for patients who have convulsive 
disorders has been continued. This service is growing rapidly and is greatly handi- 
capped by the lack of facilities for carrying it on. 

Social Service 

During the past year 264 calls have been made by the Social Service Department. 
The Social Worker visits the family of each new patient soon after admission in order 
to get the medical and family history and the social background. 

As far as possible the out-patients have been visited at least once and their con- 
dition reported. 

Several special investigations of home conditions have been made as to the advis- 
ability of allowing committed patients to go home or to be discharged. 

Several patients have been placed in employment outside the hospital with fairly 
good success. It has been found that the girls and women do well at housework and 
the men and boys at farm work. The greatest difficulty seems to be in finding 



4 



P. D. 62 



people who are willing to take into their homes persons who have suffered from 
convulsions. 

School Clinic Work 
Clinics for special class children have been held in Agawam, Chicopee, Palmer, 
and West Springfield. During the past year 360 children have been examined. 

School 

The school at the Children's Colony, with an average membership of 100.8, had 
an attendance of 95 per cent for the entire year. At the end of the school year 
in June an exhibition of school work was held that did great credit to both pupils 
and teachers. 

In conclusion I wish to thank the employees and officials of the hospital for their 
loyalty and co-operation. 

To the members of the Board of Trustees I wish to make acknowledgment of their 
confidence, support and wise counsel. 

Respectfully submitted, 

MORGAN B. HODSKINS, Superintendent. 

GIFTS 

The following gifts are gratefully acknowledged: 

Disabled Veterans' Christmas Remembrance Committee, gifts for ex-service men. 

American Legion Auxiliary, Boston, gifts for ex-service men. 

Mr. Morris Segal, Chelsea, five dollars. 

Mr. Carl Hering, Lawrence, five dollars. 

Mr. Harris Rubenfeldt, New York City, ten dollars. 

Mrs. B. Underwood, Springfield, magazines. 

The Monson Library, Monson, magazines. 

Mrs. W. P. Beard, Morrisville, Vermont, magazines. 

Mr. Henry K. Hyde, Ware, magazines. 

Mrs. F. L. Bliss, Monson, magazines. 

Mrs. H. Bradway, Monson, magazines. 

The Salvation Army, magazines. 

Mrs. Ethel Rood Murray, Monson State Hospital, one book. 
Mr. G. Eugene Nicolai, Palmer, sixteen books. 
The Hampden Library, Hampden, four books. 
Mrs. Richard Artesani, Allston, clothing. 

ENTERTAINMENT 
By The Men's Brotherhood, Baptist Church, Palmer, Mass. 

CLERGYMEN WHO HAVE HELD SERVICES 
Rev. H. W. Colwell Rev. G. W. Penniman 

Rev. C. A. S. Howe Rev. Richard E. Power 

Rev. H. S. Martin Rev. Moses L. Sedar 

Rev. R. R. Morson The Salvation Army 

GENERAL INFORMATION 
Methods of Admission 

1. The regular insane commitment, such as is used at the insane hospital. 

2. Two forms: (a) voluntary admission, requiring the certificate of one doctor, 
which certificate must be certified by a justice; (h) commitment for those who are 
considered dangerous epileptics, but not otherwise insane. 

Each patient is required to work as much as he is able. Patients are not allowed 
to go to town alone, nor to walk out alone. They are expected to live on plain diet 
and to go to bed early. These restrictions are not irksome when they are fully 
understood. 



p. D. 62 



5 



Patients' Clothing 
The outfit requisite for a patient coming here is much the same as would be needed 
at home. 

Location 

The hospital is located in the town of Monson, but less than one mile from the 
village of Palmer, so that Palmer is the address for all purposes. Palmer is on the 
Boston and Albany Railroad, between Worcester and Springfield, and is at the 
junction of the Boston and Albany and the New London Northern Division of 
the Central Vermont. The Ware River Branch of the Boston and Albany Rail- 
road has one terminus in Palmer, the other in Winchendon. Palmer is 84 miles 
from Boston and the railroad fare is $3.02. 

VALUATION 
November 30, 1927 

Real Estate 

Land, 662 acres $14,362 . 00 

Buildings 769,420.08 

$783,782.08 

Personal Property 

Travel, transportation and office expenses $4,511 . 13 

Food 8,390.46 

Clothing and Materi&ls 13,747 . 02 

Furnishings and household supplies ~ 141,764 .85 

Medical and general care 11,960 . 69 

Heat, light and power ' 17,371 .41 

Farm 33,765.35 

Garage, stables and grounds 6,527 . 34 

Repairs 17,976.79 

$256,015.04 

Summary 

Real Estate $783,782 . 08 

Personal Property 258,015 . 04 

$1,039,797.12 

TREASURER'S REPORT 

To the Department of Mental Diseases: 

I respectfully submit the following report of the finances of this institution for the 

fiscal year ending November 30, 1927. 

Cash Account 
Receipts 

Income 

Board of Patients (Reimbursement) $30,834 . 29 

$30,834.29 

Personal Services: 

Labor of employees 

Reimbursement from Board of Retirement 131 . 91 

Sales: 

Travel, transportation and office expenses $ 1 . 71 

Food 1,470.24 

Clothing and materials 58 . 89 

Furnishings and household supplies 51 . 78 

Medical and general care 332 . 75 

Heat, light and power 2.00 

Farm: 

Cows and calves $183.00 

Pigs and hogs 15.00 

Hides 106.10 

Sundries 32.42 

336 . 52 

Repairs, ordinary 63 . 24 • 

Total sales 2,317.13 

Miscellaneous: 

Interest on bank balances $ 208 . 86 

Rent 518.50 

727.36 

Total income $34,010.69 

Balance from previous year, brought forward $ 14,492 . 67 

Appropriations, current year 417,940.00 

Small items 11.80 

Transferred from other institutions 5,761 . 00 

Total $438,205.47 



6 P. D. 62 

Expenses (as analyzed below) 425,517.96 



Balance reverting to Treasury of Commonwealth $ 12,687.51 

Analysis of Expenses 

Personal services $212,856 . 80 

Religious instruction 1,535.92 

Travel, transportation and office expenses 4,662.93 

Food 71,453.65 

Clothing and materials 10,995.98 

Furnishings and household supplies 19,733 .35 

Medical and general care 8,867.05 

Heat, light and power 49,156.91 

Farm 22,007.64 

Garage, stable and grounds 3,936 .03 

Repairs, ordinary 9,187.29 

Repairs and renewals 11,124.41 



Total Expenses for Maintenance $425,517 . 96 

Special Appropriations 

Balance December 1, 1926 $7,472 . 72 

Appropriations for current year 93,750 . 00 



Total $101,222.72 

Expended during the year (see statment below) $7,183.75 

Reverting to Treasury of Commonwealth 306.10 

7,489.85 



Balance November 30, 1927, carried to next year $93,732 . 87 



OnjECT 


Act 


Whole 
Amount 


Expended 
During 
Fiscal 
Year 


Total 
Expended 
to Date 


Balance 
at End 
of Year 


Fire Protection, 1925 

Male Employees' Home 


Chap. 347 
Act of 1925 

Chap. 138 
Act of 1927 


$7,500.00 
93,750.00 


$7,166.62 
17.13 


$7,193.90 
17.13 


$306.10* 
93,732.87 


Total 




$101,250.00 


$7,183.75 


$7,211.03 


$94,038.97 



Balance reverting to Treasury of the Commonwealth during year (mark item with *) $306 . 10* 

Balance carried to next year 93,732 . 87 



Total as above $94,038 . 97 

Per Capita 

During the year the average number of inmates has been 1182.70. 
Total cost for maintenance, $425,517.96. 

Equal to a weekly per capita cost of $6.9189 (52 weeks to year). 

Receipt from sales, $2,317.13. 

Equal to a weekly per capita of $0.0376. 

AH other institution receipts, $31,693.56. 

Equal to a weekly per capita of $0.5153. 

Net weekly per capita $6.3660. 

Respectfully submitted, 

SARAH E. SPALDING, Treasurer. 



p. D. 62 7 

STATISTICAL TABLES 
As Adopted by American Psychiatric Association 
I Prescribed by Massachusetts Department of Mental Diseases 

Table 1. — General Information 

1. Date of opening as an institution for Epileptics: May 2, 1898. 

2. Type of institution: State. 

3. Hospital plant: 

Value of hospital property: 

Real estate including buildings $783,782 . 08 

Personal property 256,015.04 

Total $1,042,011.63 

Total acreage of hospital property, 661.79. 
Acreage under cultivation during year, 124. 

M. F. T. 

4. Medical service: 

Superintendent 1 - 1 

Assistant superintendent , 1-1 

Assistant physicians 5 1 6 

Medical internes - - - 

Clinical assistants - - - 

Total 7 18 

M. F. T. 

5. Employees: 

Graduate nurses - 7 7 

Other nurses and attendants 51 47 98 

Social worker ~ - 1 1 

All other employees 62 49 111 

Total 120 105 225 

6. Percentage of patients employed during year 291.80 288.45 580.25 



Table 2. — Financial Statement 
See Treasurer's report for data under this table. 



8 



P. D. 62 



n y-^ in ^ O5t}I00 

eO rH ,-1 r-llrt 



I eot-ic 

t> 00 (N 



CO !0 t> 

t>t-o> 

Nth 



»H «5 



t> N C5 N ?D NO'* 

00 CO r-i lo 00 eo 

1-1 i-l tr- 



io -rji o 
cq CO <Xi 



CO 00 

Oi 00 



CO 

1 



N T-ic<jeo I eouo c<!05N I I 'I't-oo 
t> t-eoo Ot> NCO NOOOO 



I t- 05 
NO 
CO 



1^ 



C3 ►*> 



S3 3 ! 



*5.S 



-w r/> CJ ^ ^ r/) C 



O " 2 



C g^ 

1^<5 



4) C 



t» >^ 0) w CO w t< C 



!5 



e'^.S « ^ 

g-g-S c c 



a) 

u o a 
« >> 2 

flj.S 3 CO 



O O ° ° -2 
Qj a; I S h ^ ^ 

Sgfcg-eofl 
c c c « 



2 g-i3 

O Q, cs 



ui r; eti C3 «-< «« <*_i 
^ ^xs-o o o o 



Sgggggg^ 

> > >^ 3 3^ 



Oh u 



p. D. 61 



9 



w 3 w 

wis 



^2 w [2 

£ y 

Z < r, 

w 5 S 

0, o 2 



00 1 lo in 1-1 to rH » 



Sane 


PARENTS 
OF FEMALE 
PATIENTS 




CO to r-l 00 1 N 1 lO lO tH O W r-(i-l tH 


U5 


O 
O 


fa 


NOCrHCO 1 1 CO 1 CO i-H CO tH | 


t- 


o 

IC 




,-Ht- 1 lO 1 r-l 1 CO (M CO ^ 1 1 


00 tH 
(N 


o 

VO 


PARENTS 
OF MALE 
PATIENTS 




U5(M r-,-1 T-l 


00 




fa 


«5,-H I -^r-t |i-H00^O It-i-INi-KN 1 
(Nth 








t--!!" leOrH IrH'^tD It-iHCCrHM 1 


eo^ 




PATIENTS 




OOlC 1 CO 1 1 1 r-l(M 1 OJ 1 1 1 1 1 
O 


03 1 




fa 


CO-* IrHllll^lTHIIIII 


t- 1 


o 

IC 




LOi-llMI 1 |,Hr-ll,-^| 1 1 1 1 
CD 


?o 1 


t> 


Insane 


PARENTS 
OF FEMALE 
PATIENTS 




ION 1 W 1 i-H ! i 1 1 1 1 (M 1 1 1 


t-<N 


Tft 


fa 


COtH I -tH I I I I I I I I ,H I I I 


03 r-l 


t- 




(N^H l^l^llllllr-illl 


rf i-H 


t> 


PARENTS 
OF MALE 
PATIENTS 




CO-^IC<I|T-f|COCNJI 1 l(MIC^5l 


CO 03 


CO 


fa 


OOrH 1 rH 1 | 1 j;! ^ I I | ,H I r-l t 


t> tH 


o 




lOeO 1 rH 1 tH 1 THrH | | | ^ | rH I 


(N 




PATIENTS 




(Mi-H 1 1 1 1 1 1 1 1 1 1 1 1 1 1 




03 


fa 


l> 1 1 1 1 1 1 1 1 1 1 1 1 1 1 1 


1 1 


o 




lOrH 1 1 1 1 1 1 1 1 1 1 1 1 1 1 







tJUGfafaOO/ o - « 



10 p. D. 62 



Table 5. — Citizenship of First Admissions 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


By birth 


15 


7 


22 


66 


43 


109 


81 


50 


131 


Alien 








5 


4 


9 


5 


4 


9 


Naturalized 


1 




1 




3 


3 


1 


3 


4 


Total. . 


16 


7 


23 


71 


50 


121 


87 


57 


144 



Table 6. — Psychosis of First Admissions 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Epileptic: 
























1 


1 


33 


22 


55 


33 


23 


56 


Mental deficiency: 




















Idiot 


12 


3 


15 


14 


7 


21 


26 


10 


38 




2 


2 


4 


16 


10 


26 


18 


12 


30 




2 


1 


3 


7 


8 


15 


9 


9 


18 


Epilepsy without psychosis 










1 


1 




1 


1 


Delirium tremens with convulsions . . 








1 




1 


1 




1 


Not epileptic 










1 


1 




1 


1 












1 


1 




1 


1 


Total 


16 


7 


23 


71 


50 


121 


87 


57 


144 



Table 7. — Race of First Admissions 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 




1 




1 








1 




1 




4 


1 


5 


14 


15 


29 


18 


16 


34 










1 




1 


1 




1 






2 


3 


11 


7 


18 


12 


9 


21 






1 


2 


1 


1 


2 


2 


2 


4 


Greek 








1 




1 


1 




1 






1 


2 


3 


4 


7 


4 


5 


9 








2 


9 


5 


14 


11 


5 


16 








1 


6 


3 


9 


7 


3 


10 










1 


1 


2 


1 


1 


2 








1 


2 


1 


3 


3 


1 


4 


Scotch 








1 


1 


2 


1 


1 


2 










7 


3 


10 




3 


10 




4 


1 


5 


14 


8 


22 


18 


9 


27 






1 


1 




1 


1 




2 


2 




16 


7 


23 


71 


50 


121 


87 


57 


144 



Table 8. — Age of First Admissions Classified with Reference to Epilepsy 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


■ F. 


T. 


M. 


F. 


T. 


Under 15 years 


10 


4 


14 


30 


21 


51 


40 


25 


65 


From 15 — 20 years 


1 


1 


2 


11 


7 


18 


12 


8 


20 


20—25 years 


3 


1 


4 


7 


3 


10 


10 


4 


14 


25—30 years 


1 


1 


2 


3 


6 


9 


4 


7 


11 


30—35 years 








6 


1 


7 


6 


1 


7 


35 — 40 years 








4 


3 


7 


4 


3 


7 


40 — 45 years 


1 




1 


2 


4 


6 


3 


4 


7 


45 — 50 years 








3 


2 


5 


3 


2 


5 


50 — 55 years 








1 






1 




1 


55 — 60 years 










1 


1 




1 


1 


60—65 years 








3 


1 


4 


3 


1 


4 


65 — 70 years 




















70—75 years 








1 




1 


1 




1 


75 — 80 years 




















80 — 85 years 






























1 


1 




1 


1 


Total 


16 


7 


23 


71 


50 


121 


87 


57 


144 



p. D. 62 

Table 9. — Degree of Education of First Admissions 



11 





Insane 


Sane 


Total 




M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Not of school age 




2 


2 


10 


2 


12 


10 


4 


14 










1 




1 


1 




1 




1 


2 


3 


10 


6 


16 


11 


8 


19 


Illiterate 


14 


2 


16 


16 


14 


30 


30 


16 


46 


Common school 


1 


1 


2 


31 


22 


53 


32 


23 


55 


High school 








3 


6 


9 


3 


6 


9 


Total 


16 


7 


23 


71 


50 


121 


87 


57 


144 


Table 10.- 


-Environment of First Admissions 










Insane 


Sane 


Total 




M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Urban 


16 


7 


23 


68 


48 


116 


84 


55 


139 










3 


2 


5 


3 


2 


5 


Total 


1& 


7 


23 


71 


50 


121 


87 


57 


144 



Table 11. — Economic Condition of First Admissions 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Marginal 


8 


4 


12 


50 


27 


77 


58 


31 


89 


Dependent 


6 




8 


15 


16 


31 


21 


18 


39 


Comfortable 


2 


1 


3 


6 


7 


13 


8 


8 


16 


Total 


16 


7 


23 


71 


50 


121 


87 


57 


144 



Table 12. — Use of Alcohol by First Admissions 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Abstinent 


16 


7 


23 


60 


48 


108 


76 


55 


131 


Temperate 








5 




5 


5 




5 


Intemperate 








6' 


2 


8 


6 


2 


8 


Total .' 


16 


7 


23 


71 


50 


121 


87 


57 


144 



Table 13. — Marital Condition of First Admissions 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Single 


16 


7 


23 


62 


46 


108 


78 


53 


131 










1 




1 


1 




1 










7 


3 


10 


7 


3 


10 


Widowed 








1 


1 


2 


1 


1 


2 


Total 


16 


7 


23 


71 


50 


121 


87 


57 


144 



12 P. D 62 



Table 14, — Psychosis of Re-admissions 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T, 


M. 


F. 


T. 


Epileptic: 




























19 


11 


30 


19 


11 


30 






















Mental deficiency: 




















Idiot 








2 


1 


3 


2 


1 


3 










4 


2 


6 


4 


2 


6 










7 


3 


10 


7 


3 


10 












1 


1 




1 


1 












1 


1 




1 


1 


Total 








32 


19 


51 


32 


19 


51 



Table 15. — Discharge of Patients and Condition on Discharge 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Improved 


1 


1 


2 


30 


23 


53 


31 


24 


55 


Not improved 


2 


1 


3 


31 


23 


54 


33 


24 


57 


Recovered 








2 




2 


2 




2 


Total 


3 


2 




63 


46 


109 


66 


48 


114 



Table 16. — Causes of Death 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Epidemic, Endemic and Infectious 




















Diseases: 






























1 


1 




1 


1 


General Diseases: 




















Carcinoma of Rectum 




1 


1 










1 


1 


Diseases of the Nervous System: 




















Epilepsy 


7 


9 


16 


20 


27 


47 


27 


36 


63 


Meningitis 










1 


1 




1 


1 


General paralysis 


1 




1 








1 




1 


Abscess of brain 








1 




1 


1 




1 


Diseases of the Respiratory System: 




















Broncho-pneumonia 




1 


1 


1 




1 


1 


1 


2 


Lobar pneumonia 








1 


1 


2 


1 


1 


2 


External Diseases: 




















Asphyxia during epileptic convul- 












1 
















1 




1 




1 


Total 


8 


11 


19 


24 


30 


54 


32 


41 


73 



p. D. 62 13 



Table 17. — Age of Patients at Time of Death 





Insane 


Sane 


Total 


M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 




2 


2 


4 


8 


2 


10 


10 


4 


— 

14 




1 


2 


3 


- 


3 


3 


1 


5 


6 




1 


1 


2 


1 


4 


5 


2 


5 


7 




1 


1 


2 


— 


2 


2 


1 


3 


4 




- 




1 




3 


3 




4 


4 










1 


q 
o 




1 

1 


O 


D 




: 


1 


\ 


1 


2 


3 


1 


3 


4 










4 


2 


6 


4 


2 


6 




1 






3 


3 


6 


4 


3 


7 






1 




1 


1 


2 


1 


2 


3 


60 — 65 years 








3 


2 


5 


3 


2 


5 


ftC 7n ir^ioro 










2 


2 




2 


2 


70 — 75 years 


1 






1 


1 


2 


2 . 


1 


3 


75—80 years 




















80—85 years 


1 












1 




1 


85—90 years 








1 




1 


1 




1 


Total 


8 


11 


19 


24 


30 


54 


32 


41 


73 



Table 18. — Total Duration of Hospital Life of Patients Dying in Hospital 





Insane 


Sane 


Total 




M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Less than 1 month 








1 


2 


3 


1 


2 


3 


From 1 — 3 months 








1 


1 


2 


1 


1 


2 






1 


1 




1 


1 




2 


2 


8 — 12 months 


1 




1 


1 




1 


2 




2 


" 1 — 2 years 


1 


2 


3 


6 


3 


9 


7 


5 


12 
9 






2 


2 


3 


4 


7 


3 


6 




2 


3 


5 


5 


6 


11 


7 


9 


16 


" 10 — 15 years 


2 


2 


4 


4 


9 


13 


6 


11 


17 
6 


" 15— 20 years 




1 


1 


2 


3 


5 


2 


4 


" 20 — 25 years 


2 




2 


1 


1 


2 


3 


1 


4 






















Total 


8 


11 


19 


24 


30 


54 


32 


41 


73 





r 

J 

1 

I 



I 



i^ublic Document No. o2 

Wlff (Eammantxttoltif of MaBsaciiuBttta 



ANNUAL REPORT 



OF 



THE TRUSTEES 



<>F THK 



MoNsoN State Hospital 



FOR THE 



YEAR ENDING XOVEMBEK HO, 192S 



Department of Mental Diseases 



1^^ 




PdBUCATION of this DocrMENT approved BV THK COMMISSION ON ADMINISTRATION AND FINANCE 

C 

>00 12-'20. Order 762S. 



»ATELIIHART0fM*S3l«il8ETT? 



MONSON STATE HOSPITAL. 

BOARD OF TRUSTEI^j^g^ 

George A. Moore, Chairman, Palmer. 
Henry K. Hyde, Secretary, Ware. 
Mary B. Townsley, Springfield. 
Warren H. Hamilton, Chicopee Falls. 
George D. Storrs, Ware. 
Elizabeth Hormel, West Roxbiiry. 
J. Ubalde Paquin, New Bedford. 

RESIDENT OFFICERS. 
Morgan B. Hodskins, M.D., Superintendent. 
Earl K. Holt, M.D., Assistant Superintendent. 
Donald J. MacLean, M.D., Senior Assistant Physician. 
Samuel 0. Miller, M.D., Senior Assistant Physician. 
Paul I. Yakovlev, M.D., Senior Assistant Physician. 
Lucie G. Forrer, M.D., Assistant Physician. 
Alexander P. Aitken, M.D., Assistant Physician. 

, Assistant Physician. 

Charles F. Simonds, Steward. 
Sarah E. Spalding, Treasurer. 

NON-RESIDENT OFFICER. 
John F. Roche, D.D.S., Dentist. 

CONSULTING STAFF. 
William N. Bullard, M.D., Honorary Consulting Physician. 
Hervey L. Smith, M.D., Consulting Physician. 
Michael I. Shea, M.D., Alternate Consulting Physician. 
John M. Birnie, M.D., Consulting Surgeon. 
Richard S. Benner, M.D., Alternate Consulting Surgeon. 
Dudley Carleton, M.D., Considting Orthopedic Surgeon. 
George A. Moore, M.D., Consulting Oculist and Aurist. 
■ James M. Murphy, M.D., Alternate Consulting Oculist and Aurist. 
David E. Harriman. M.D., Consulting Physician on Diseases of the Skin. 

TRUSTEES' REPORT. 
To His Excellency the Governor and the Honorable Council: 

The trusi.f^es of the IMcnson State Hospital submit herewith their annual report. 

The business of the hospital has progressed this year to the end of comfort and 
assistance to the patienis who number at this time 1,165, obviously a greater 
number than h desirabiOj ohe capacity of the institution considered. 

The outstanding need cf our institution, as has been yearly outlined in these 
reports, is a leception hospital in which patients from wherever received may 
temporarily be placed hi order that an assay of their condition and needs may 
result in a pKiper placement of them, rather than the present necessary practice 
of placing tiiem where we guess they best may go and later when experience assists, 
changing them to more appropriate buildings or wards. The work of this in- 
stitution would be measurably assisted by a reception building. 

That necessi-ty for economy which has caused delay in acquisition of needed 
ljuildings has found expression as well in the paring of appropriations when buildings 
are erected, to the extent that no proper finish can be given to the adjacent grounds 
and no road of a suitable nature can be laid to the building. The sum of this is 
that there is a great necessity for good roads between the buildings, and as we are 
looking forward to a comprehensive landscape gardening improvement of our 
grounds, we very much wish to have the necessary preliminary work of road 
building become an accomplished fact in the near future. 



P.D. 62 3 
A great benefit to the work will accrue from the building for infirm children and 
from the attendants' home, both at present in the process of erection. 

Respectfully submitted, 
George A. Moore, Chairman^ Warren H. Hamilton, 

Elizabeth E. Hormel, Secretary, Henry K. Hyde, 

Mary B. Townsley, George D. Storrs, 

Joseph L. Simon, Trustees. 

SUPERINTENDENT'S REPORT. 
To the Board of Trustees of the Monson State Hospital: 
I herewith submit my report for the year 1928. 

The average number of patients during the hospital year has been 1,212.35; the 
number of patients admitted, 210; the number of deaths, 81. 

The following changes have occurred in the medical staff: Dr. Ulysse Forget 
left our employ to enter general practice. Dr. Maurice 0. Belson resigned to 
continue his medical studies. Dr. Alexander P. Aitken was appointed Junior 
! Assistant Physician on May 20, 1928. 

The school at the Children's Colony has been carried on in a very satisfactory 
manner. The exhibition of school work held after the close of school reflected 
much credit on both teachers and pupils. The total number of pupils in attendance 
was 131. 

Two years ago I made mention of our out-patient and observation clinics. 
These have continued to grow and the time is fast approaching when provisions 
will have to be made for the accommodation of patients sent to the hospital by 
physicians for observation and recommendation as to treatment. Such provisions 
should be made as many of these patients can be cared for at home under the super- 
vision of the family physician; thus relieving the hospital of a number of patients 
that would otherwise have to be accommodated in the house. 

The school clinic work under the direction of Dr. Forrer has been carried on and 
a large number of children examined. 

The dental work at the hospital has been under the charge of Dr. John F. Roche 
of Palmer. A dental interne was employed during the summer. 

The work of the Social Service Department during the past year has been carried 
on along the same lines as during the previous year. The work has consisted of 
obtaining the medical and social histories of the new patients admitted to the 
hospital as soon as possible after their admission, the investigation of home con- 
ditions of the patients' families relative to their discharge from the hospital or 
to a visit to their home, supervision of patients while on visit from the hospital, 
placement of patients in employment and the supervision of these patients while 
out in employment, and social case work. During the past year 380 visits were 
made. Some of the time that could well have been given to social case work has 
had to be given to the school clinic work. An attempt has been made to get the 
medical and social histories of all new admissions but because of lack of time and 
because of the extent of the hospital district, covering as it does the whole State, 
this has not been possible.- 65% of the histories of the new admissions have been 
obtained. The placement of patients out in employment has been carried on with 
some success during the last year. Although the number placed has been small, 
fairly good results have been obtained. 

At this time I wish to acknowledge our indebtedness to our consulting staff who 
has given so generously of its time for the benefit of the patients. 

I also wish to express my appreciation to the officers and employees for their 
' faithful and efficient work and loyalty to the hospital. 

j ' Respectfully submitted, 

MORGAN B. HODSKINS, Superintendent. 



P.D. 62 



Gifts. 



The following gifts are gratefully acknowledged : The Salvation Army, magazines ; 
Mrs. Mary Leclair, Cambridge, two dollars; Mr. Carl Hering, Lawrence, five 
dollars; Mr. Alfred R. Lincoln, Springfield, one book; Mrs. Christine Gooding, 
Falmouth, five dollars; Miss Evelyn Hirschman, Dorchester, candy; Disabled 
Veterans' Christmas Remembrance Committee, Boston, Mass., gifts for ex-service 
men; Mrs. John H. Moran, Chicopee, clothing; Mr. Clarence H. Grey, Wal- 
tham, clothing; Mrs. Harley S. Ward, Wollaston, shoes; Mrs. Thomas Barry, 
Newtonville, clothing; Mr. Harold Whiting, New Bedford, books; Mr. T. L. 
Cushman, Monson, magazines; Mrs. F. G. Christiansen, Salem, clothing; Mrs. 
Ethel Rood Murray, Monson State Hospital, six books; Mrs. J. B. Colvin, 
Boston, one book. 

Clergymen Who Have Held Services. 



Rev. F. A. Mooney 
Rev. C. A. S. Howe 
Rev. H. S. Martin 
Rev. R. R. Morson 



Rev. G. W. Penniman 
Rev. Richard E. Power 
Rev. Moses L. Sedar 
The Salvation Army 



GENERAL INFORMATION. 
Methods of Admission. 

L The regular insane commitment, such as is used at the insane hospital. 

2. Two forms: (a) voluntary admission, requiring the certificate of one doctor, 
which certificate must be certified by a justice; (6) commitment for those who are 
considered dangerous epileptics, but not otherwise insane. 

Each patient is required to work as much as he is able. Patients are not allowed 
to go to town alone, nor to walk out alone. They are expected to live on plain diet 
and to go to bed early. These restrictions are not irksome when they are fully 
understood. 

Patients' Clothing. 
The outfit requisite for a patient coming here is much the same as would be 
needed at home. 

Location. 

The hospital is located in the town of Monson, but less than one mile from the 
village of Palmer, so that Palmer is the address for all purposes. Palmer is on the 
Boston and Albany Railroad, between Worcester and Springfield, and is at the 
junction of the Boston and Albany and the New London Northern Division of 
the Central Vermont. The Ware River Branch of the Boston and Albany Rail- 
road has one terminus in Palmer, the other in Winchendon. Palmer is 84 miles 
from Boston and the railroad fare is $3.02. 

VALUATION. 



November 30, 1928. 
Real Estate. 



Land, 662 acres 
Buildings . 



$14,362.00 
753,216.09 



Personal Property. 



Travel, transportation and office expenses 
Food . . 

Clothing and materials . 
Furnishings and household supplies 
Medical and general care 
Heat, light and power 
Farm ..... 
Garage, stables and grounds 
Repairs ..... 



$767,578.09 

$4,818.23 
10,811.53 
14,831.14 
142,482.00 
14,787.26 
13,379.63 
35,898.81 
11,659.59 
20,860.68 



Summary. 



Real estate 
Personal property 



$269,528.87 



$767,578.09 
269,528.87 



$1,037,106.96 



IP.D. 62 5 

FINANCIAL REPORT. 
'. To the Department of Mental Diseases: 

I respectfully submit the following report of the financas of this institution for 
I the fiscal year ending November 30, 1928. 



Cash Account. 
Receipts, 

Income. 

< Board of Patients , «3 1,733. 26 

$31,733.26 

I Personal Services: 

Reimbur.sement from Board of Retirement ........ 157.31 

Sales: 

Travel, transportation and office exjKJnses . . . . . . $1.50 

Food 1,795.91 

Clothing and materials 63 . 56 

Furnishings and household supplies 72 . 37 

Medical and general care ......... 281.05 

Farm: 

Cows and calves 428.00 

Hides 91.88 

Sundries ........... 23.44 

Garage, stable and grounds ......... 10.23 

Repairs, ordinary .......... 125.21 



Total sales 2.893 . 16 

Miscellaneous: 

Interest on bank balances ......... $276.31 

Rent 544 . 15 

820.46 



Total income $35.604 . 18 

MAtNTKNANCE. 

Balance from previous year, brought forward $1,460.93 

Appropriations, current year 451,080.00 



_ Total $452,540.93 

Expenses (as analyzed below) 440,926 . 29 



Balance reverting to Treasury of Commonwealth $11,614.64 

^ , Analysis of Expenses. 

Personal services $226,036 . 32 

Religious instruction 1,535! 92 

Travel, transportation and office expenses ........ 4,896! 13 

Food • • . , 76,156.86 

Clothing and materials ............ 11,496.18 

Furnishings and household supplies ...!!!!!!. 21,249! 27 

Medical and general care 11,232.73 

Heat, light and power . . 34,132 98 

Farm • • 25,107.61 

Garage, stable and grounds ........ ... 5,544 50 

Repairs ordinary ! , . . 10,816.54 

Repairs and renewals ............. 12,721.25 



Total expenses for maintenance $440,926.29 



Appropriations for current year $220,732.87 



Total $220,732.87 

Expended during the year (see statement below) $406 . 20 $406 . 20 



Reverting to Treasury of Commonwealth 



Balance November 30, 1928, carried to next year $220,326.67 



Object. 


Act 
or 
Resolve. 


Whole 
Amount. 


Expended 
During 
Fiscal Year. 


Total 
Expended 
to Date. 


Balance 
at End 
of Year. 


Male employees' home 
Children's building 


1927, 1928 
1928 


$105,750.00 
115,000.00 


$32.90 
373.30 


$50.03 
373.30 


$105,699.97 
114,626.70 






$220,750.00 


$406.20 


$423.33 


$220,326.67 



Balance reverting to Treasury of the Commonwealth during year 

Balance carried to next year ........... $220,326.67 



Total as above $220,326.67 



6 P.D. 62 

Per Capita. 

During the year the average number of inmates has been, 1,215.22. 
Total cost for maintenance, $440,926.29. 

Equal to a weekly per capita cost of $6.9394 (52 weeks to year). 

Receipt from sales, $2,893.15. 

Equal to a weekly per capita of $.0455. 

All other institution receipts, $32,711.03. 

Equal to a weekly per capita of $.5148. 

New weekly per capita, $6.3791. 

Respectfully submitted, 

SARAH E. SPALDING, Treasurer. 

STATISTICAL TABLES. 
As Adopted by the American Psychiatric Association. 
Prescribed by the Massachusetts Department of Mental Diseases. 
Table L General Information. 

Data correct at end of hospital year, November 30, 1928. 

1. Date of opening as a hospital for mental diseases. May 2, 1898. 

2. Type of hospital: State. 

3. Hospital plant: 

Value of hospital property: 

Real estate, including buildings . . . ... . . . . $767,578.09 

Personal property 269,528! 87 



Total 

Total acreage of hospital property owned: 661.79 acres. 
Additional acreage rented, 9.67 acres. 

Total acreage under cultivation during previous year, 124 acres. 
4: OflBcers and employees: 



$1,037,106.96 





Actually in Service 


Vacancies at End 






at End of Year. 




of Year. 






M. 


F. 


T. 


M. 


F. 


T. 


Superintendents .... 


1 




1 








Assistant physicians 


5 


1 


6 


1 




1 


Total physicians 


6 


1 


7 


1 




1 


Stewards ..... 


1 




1 








Non-resident dentists (part time) . 


1 




1 








Graduate nurses .... 




9 


9 




6 


6 


Other nurses and attendants . 


57 


51 


108 


5 


5 


10 


Occupational therapists 


1 


1 


2 








Social workers .... 




1 


1 








All other officers and employees 


; 58 


50 


108 


1 


2 


3 


Total officers and employees . 


124 


113 


237 


7 


13 


20 



Note: — The following items 5 to 10, inclusive, are for the year ended September 30, 1928 
5. Census of patient population at end of year: 

Actually in Hospital. 



Absent from Hospital 
but Still on Books. 





M. 


F. 


T. 


M. 


F. 


T. 


White: 














Insane 


320 


401 


721 


34 


22 


56 


Epileptics 


253 


223 


476 


25 


23 


48 


All other cases 




1 


1 








Total . 


573 


625 


1,198 


59 


45 


104 



Other races: 
Insane 
Epileptics 



Total 

Grand Total 



10 

583 



631 



16 
1,214 



6. Patients under treatment in occupational-therapy classes including 

physical training, on date of report ..... 

7. Other patients employed in general work of hospital on date of re- 

port . . . . . . . . . . 

8. Average daily nvunber of all patients actually in hospital during year 

9. Voluntary patients admitted during year ..... 
10. Persons given advice or treatment in out-patient clinics during year 

Table 2. Financial Statement. 
See treasurer's report for data requested under this table. 



59 


45 


104 


Males. 


Females. 


Total. 


48 


67 


115 


350 
586.37 

58 
130 


271 

626.18 
54 
89 


621 
1,212.55 
112 
219 



P.D. 62 



i 



lO :0 »-i CO O iiO I CO 1-H t>- ^ 

Cq X) rH CO "^00 QO ^ 

CO rH (M (N 



CO 051-IIOC0 |00(M'«t<|COO 
O 00 <N ^ ^ COO 



Oi O CO O Oi I if3 05 CO QO I> 

to (M O to CO (M r-^ 

CO rH !>. --H 



^ O 22 

?5 T-4 CO 



^ lO CO 

CO 



S 



05 (N 
- to Tt< 
to CD 







O 

CO 
05 


T-H CO 


151 
1,111 


1 CO O CO 
-rt^ 00 


T-H to (M 
CO 05 

T-H 


CO CO 05 
(M 05 T-H 

00 Oi 








O O 

lO (N 


O 

to 


1 00 '■H 

to 


1 CO CO 

00 


CO CO Oi 
^ »o 


m 




















00 

00 


(M Oi 
CO 1^ 


1 Oi 

00 CO 

to 


1 to Oi <M 
CO (M 


o 


CO o 
O to CO 






to 

CO 
CO 


Tti (M CO Oi 
to to (M 


1 1 i-H TtH 


— 1 05 to 

T-H (M 


^ 00 Oi 
Oi Oi 
CO CO 


3 ANE. 






CO 


1 

TtH CO 

(M 


1 1 T-H CO 


1 cot^ 


to (M 

T-H T-H 






















rH 


to rH CO Oi O 

T-H T-H 05 
T-H 


1 1 1 rH 


T-H CO 00 


CO CO (N 
00 

tH t-H 



03 

m 

'-+3 

^ T^ • 

o 



p. 

a? 
O 



O 5=1 'TS 

«2.2 ^ 



.2 '3 -53 



^^•^ 2 03 
02 >• O 9^ 

02 03 Sh 
O 

c3 ■— ( ,— I _C 




03 



C3 iH 



O O 

03 p ^ 

o & o ^ 



02 02 CO '^ri o3 

Hf5 



IS 



•iaqjBj 



q'jog 



•jaq-joi^ 
•J8q?«jl 



S s H 

i d ^ 

^ a S 

g i 



o » 



q»og 



jaq^oj^ 
•jaq^Bji 



q»oa 



•jaqioj^ 



•o a: 1 (M I 



(US I I . 



1-^ ICO l««C-i. i-^^.^. 



00«« I <N 



I500 I I CO»^-» ( 



)0 I — ec -^<M 



I 5<l 1 I I <M 



I eo — I 



)0 ( — eo-<-H 



C<9-^ I <M 1 



nec \ I — I I ( 
cq I I I — t I I 

'-«C I t I I I I 



1 o»-^ecco 



eocq 
o CM 



J • 



^■3.-0 S OS s g >> g 



a § S a.S c ©5 S & 3 3 

O Q W Et. O O ►i; Z Pu, Oh « M m E- &- 



P.D. 62 



P.D. 62 



Table 5. Citizenship of First Admissions. 



9 





Insane. 


Sane. 


Total. 








M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Citizen by birth . 






14 


33 


47 


55 


45 


100 


69 


78 


147 


Alien .... 








5 


5 


6 


3 


9 


6 


8 


14 


Naturalized 






1 




1 


1 




1 


2 




2 


Unknown . 








1 






2 


2 




3 


3 


Total . 






15 


39 


54 


62 


50 


112 


77 


89 


166 




Table 6. 


Psychosis of First Admissions. 








Psychosis. 


Insane. 


Sane. 


Total. 








M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Epileptic 






6 


16 


22 


29 


24 


53 


35 


40 


75 


Without psychosis 






9 


23 


32 


32 


24 


56 


41 


47 


88 


Paranoia 












1 






1 




1 


Dementia prsecox 














1 


1 








Psycho-neurosis . 














1 


1 






1 


Total . 






15 


39 


54 


62 


50 


112 


77 


89 


166 




Table 


7. 


Race of First Admissions. 










Race. 


Insane. 


Sane. 


Total. 








M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


English 






5 


10 


15 


9 


9 


18 


14 


19 


33 


Irish .... 








2 


3 


13 


12 


25 


14 


14 


28 


Italian 








1 


2 


10 


4 


14 


11 


5 


16 


Scandinavian 










2 








1 




2 


Slavonic 








2 


3 


5 


3 


8 


6 


5 


11 


Mixed 






6 


10 


16 


9 


9 


18 


15 


19 


34 


African (black) 












2 




3 


2 




3 


Finnish 












1 






1 




1 


French 








4 


4 


10 


8 


18 


10 


12 


22 


Greek 












1 




1 


1 




1 


Hebrew 








1 


1 


1 






1 


1 


2 


Scotch 








1 


1 


1 




1 


1 


1 


2 


Armenian 








1 


1 










1 


1 


German 








1 


1 




3 


3 




4 


4 


Lithuanian . 








2 


2 










2 


2 


Portuguese . 








1 


1 






1 




2 


2 


Unknown 








2 


2 










2 


2 


Total . 






15 


39 


54 


62 


50 


112 


77 


89 


166 



Table 8. Age of First Admissions. 



Age. 


Insane. 


Sane. 


Total. 




M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Under 15 years ..... 


4 


7 


11 


26 


25 


51 


30 


32 


62 


15-19 years ..... 


3 


7 


10 


16 


2 


18 


19 


9 


28 


20-24 years 


3 


8 


11 


4 


6 


10 


7 


14 


21 


25-29 years 


2 


4 


6 


3 


2 


5 


5 


6 


11 


30-34 years 




3 


3 


1 


4 


5 


1 


7 


8 


35-39 years 


1 


4 


5 


2 


1 


3 


3 


5 


8 


40-44 years ..... 


1 


4 


5 


1 


2 


3 




6 


8 


45-49 years ..... 




2 


2 


4 


3 


7 


4 


5 


9 


50-54 years ..... 








1 


1 


2 


1 


1 


2 


55-59 years ..... 








2 


2 


4 


2 


2 


4 


60-64 years 


1 




1 


1 


1 


2 


2 


1 


3 


65-69 years . . 










1 


1 




1 


1 


70-74 years ..... 








1 




1 


1 




1 


Total . . . . . 


15 


39 


54 


62 


50 


112 


77 


89 


166 



10 



P.D. 62 

Table 9. Degree of Education of First Admissions. 



Education. 


Insane. 


Sane. 


Total. 


[llitcrstc 

Reads and writes ... 
Common school ..... 

High school .... 

College ...... 

Unknown ...... 

Total 


M. F. T. 

6 16 22 
1 12 13 
6 11 17 

2-2 


M. F. T. 

22 14 36 
9 13 22 

22 16 38 
6 6 12 
2-2 
1 1 2 


M. F. T. 

28 30 58 
10 25 35 
28 27 55 
8 6 14 
2-2 
1 1 2 


15 39 54 


62 50 112 


77 89 166 


Table 10. Environment of First Admissions. 


Environment. 


Insane. 


Sane. 


Total. 


Urban ...... 

Rural 

Total 


M. F. T. 

14 38 52 
1 1 2 


M. F. T. 

56 49 105 
6 17 


M. F. T. 

70 87 157 
7 2 9 


15 39 54 


62 50 112 


77 89 166 


Table 11. Economic Condition of First Admissions. 


Economic Conditign. 


Insane. , 


Sane. 


Total. 


Marginal 

Dependent ...... 

Comfortable ..... 

Total 


M. F. T. 

10 18 28 
3 9 12 
2 12 14 


M. F. T. 

41 35 76 
13 11 24 
8 3 11 
1 1 


M. F. T. 

51 53 104 
16 20 36 
10 15 25 
1 1 


15 39 54 


62 50 112 


77 89 166 


Table 12. Use of Alcohol by First Admissions. 


Use of Alcohol. 


Insane. 


Sane. 


Total. 


Abstinent ...... 

Temperate ...... 

Intemperate ..... 

Total 


M. F. T. 

15 39 54 


M. F. T. 

57 50 107 

2- 2 

3- 3 


M. F. T. 

72 89 161 

2- 2 

3- 3 


15 39 54 


62 50 112 


77 89 166 



Table 13. Marital Condition of First Admissions. 



Marital Status. 


Insane. 


Sane. 


Total. 




M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Single ...... 

Married ...... 


15 


39 


54 


56 
6 


43 
6 
1 


99 
12 
1 


71 

6 


82 
6 
1 


153 
12 
1 


TotHl 


15 


39 


54 


62 


50 


112 


77 


89 


166 



P.D. 62 



Table 14. Psychosis of Readmissions. 



11 



Psychosis. 


Insane. 


, B. 


Total. 


Epileptic ...... 

Without psychosis .... 

Psycho-neurosis ..... 

Total 


M. F. T. 
1 1 2 


T. 

29 
9 
1 


M. F. T. 

15 16 31 
5 4 9 


1 1 2 


39 


20 21 41 


Table 15. Discharge of Patients and C 


oimviion on Discharge. 


Condition on Discharge. 


Insane. 


Sane. 


Total. 


Improved ...... 

Not improved 

Without psychosis .... 
Total 


M. F. T. 

1 1 
1 3 4 


M. F. T. 

35 8 43 
29 51 80 
2 13 


M. F. T. 

35 8 43 
29 52 81 
3 4 7 


14 5 


'66 60 126 


67 64 131 


Table 16. Causes of Death. 


Causes. 


Insane. 


Sane. 


Total. 


Epilepsy ...... 

Cancer ...... 

Other general diseases .... 

Other diseases of nervous system 
Broncho-pneumonia .... 

Lobar-pneumonia .... 

Ulcer of stomach .... 

Other external causes .... 

Tuberculosis of respiratory system 

Tuberculosis of other organs 

Tumor ...... 

Other diseases of digestive system 
Other diseases of skin and annexa . 

Total 


M. F. T. 
6 12 

- 5 5 

1 1 
1 1 


M. F. T. 

32 15 47 
1 1 2 
3 2 5 
1 - 1 
1 1 2 
2-2 
1 - 1 
1 1 2 

1 1 
1 1 
1 1 


M. F. T. 

38 21 59 
1 1 2 
3 2 5 
1 - 1 
1 6 7 
2-2 
1 - 1 
1 1 2 
1 1 
1 1 
1 1 
1 1 
1 1 


6 13 19 


42 23 65 


48 36 84 



Table 17. Age of Patients at Time of Death. 



Age Groups. 


Insane. 


Sane. 


Total. 




M. 


F. 


T. 


M. 


F. 


T. 


M. 


F. 


T. 


Under 15 years ..... 


1 


2 


3 


8 


6 


14 


9 


8 


17 


15-19 years . ' . 




3 


3 


4 


2 


6 


4 


5 


9 


20-24 years 


1 


1 


2 


6 




6 


7 


1 


8 


25-29 years 


1 


2 


3 


3 


3 


6 


4 


5 


9 


30-34 years 








2 


2 


4 


2 


2 


4 


35-39 years ..... 




1 


1 


3 




3 


3 


1 


4 


40-44 years ..... 








3 


3 


6 


3 


3 


6 


45-49 years ..... 




2 


2 


2 


2 


4 


2 


4 


6 


50-54 years ..... 


1 




1 


2 


3 


5 


3 


3 


6 


55-59 years ..... 




1 


1 


3 




3 


3 


1 


4 


60-64 years 








2 




2 


2 




2 


65-69 years ..... 


2 




2 


1 


1 


2 


3 


1 


4 


70 years ...... 






1 


3 


1 


4 


3 


2 


5 


Total 


6 


13 


19 


42 


23 


65 


48 


36 


84 



12 P.D. 62 



Table IS. Total Duration of Hospital Life of Patients Dying in Hospitals. 



Duration op Hospital Life. 




wSane. 


Total. 




M. 


p_ 


T. 


M. 




T. 


M. 


p 


T. 


Less than 1 month ... 




















1-3 months . . 


- 


1 


1 


4 


2 


(i 


4 


3 


7 


4-7 months . . 








4 




4 


4 




4 


8-12 months . . 


- 






1 


2 


3 


1 


2 


3 


1-2 years ... - . 




2 


2 


5 




10 


5 


7 


12 


3 — 4 years .... 


3 


2 


5 


4 


2 


t) 


7 


4 


11 


5-6 year? .... 








2 


5 


7 


2 


5- 


7 


7-8 years . 


2 


1 


3 


3 


2 


5 


5 


3 


8 


9-10 years ... 




1 


1 


4 


2 


6 


4 


3 


7 


11-12 years 




2 


2 


6 


1 


7 


6 


3 


9 


13-14 years 








1 


1 


2 


1 


1 


2 


15-19 years. .... 




1 


1 


3 




3 


3 


1 


4 


20 years . . 


1 


3 


4 


2 


1 


3 


3 


4 


7 


Total 


6 


13 


19 


42 


23 


65 


4S 


30 


84 




j 
I 
i 

I